Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dalton Glenn Weaver

Individual provider Physician Assistant · NPI 1104320308

Dalton Glenn Weaver is a Physician Assistant in Jackson, Tennessee. Qualified in 2014, 12 years ago. Practices with Erlanger Health, a 503-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2018

Practice location Address checks out

708 N Highland Ave
Jackson, TN 38301-4829
Phone: (731) 394-0071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)

Record details

NPI number1104320308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESAugust 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Erlanger Health — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson